Machu Picchu with Mohanji

A warm welcome to you for the Machu Picchu with Mohanji 2018 pilgrimage! We sincerely request you to complete the following questionnaire. The answers will help us to organize your Machu Picchu pilgrimage in an effective way and serve you better. Please be assured that, your answers will be kept confidential.

Machu Picchu pilgrimage Track (required)

PERSONAL INFORMATION



First and Last Name (required)

Date of birth (required)

Gender (required)

Phone/Mobile with country code For e.g., +91 for India (required)

Email address (required)

Passport photo - only JPEG, JPG or PNG files < 2MB. Preferred format for filename (required)

Mailing Address (required)

Nationality (required)

Country of residence (required)

EMERGENCY CONTACT INFORMATION (Important)


First and Last Name (required)

Gender (required)

Phone/Mobile with country code For e.g., +91 for India (required)

Email address (required)

Relationship (required)

Mailing Address (required)

Country of residence (required)

HEALTH CONDITIONS


Do you have any major health problems including surgeries, genetic disorders or any kind of psychosomatic illnesses? If yes, please specify.(required)

Are you taking any medications? If yes, please specify.(required)

Do you have dietary restrictions? If yes, please specify.(required)

FOOD CHOICES

Only vegetarian food that is generally low in spices and oil is served during the Yatra. Food is prepared according to the climactic conditions and also to help adapt to high altitude.

Do you have any specific preferences for food? [For e.g., no onion or garlic, gluten free diet, etc]

Do you have dietary restrictions? If yes, please specify.

Do you have any known food allergies?

PHYSICAL FITNESS

Your physical fitness is important to face the adverse weather and altitude conditions during the Yatra. However, your conviction and faith will matter more.

What is your Height (in cm) (required)?

What is your Weight (in Kgs) (required)?

What is your Blood Group? (required)

How often do you exercise?

How often do you practice Yoga?

How often do you practice Pranayam (breathing exercises)?

How do you rate your consistency in spiritual practices?

LowMediumHigh

SPONSORSHIP

Are you sponsoring yourself totally or you are partly sponsored by someone within or outside the group?

Are you sponsoring someone for the Yatra in this group? If YES, then how many?

Would you like to help someone to join this Machu Picchu Yatra with Mohanji 2018 who is in need for the financial support?

GENERAL INFORMATION


How did you hear about this program? (required)

Have you ever participated in any other programs or activities of Mohanji Foundation or any other Master or organization? If yes, please specify what kind of activities and for how many months/years.

What do you expect from this retreat? What do you hope to gain from it?

Would you like to volunteer for
PhotographyVideographyFirst-AidGeneral Organizing

What is your T-Shirt Size
SMLXLXXL

SPIRITUAL JOURNEY AND DESTINATION


Kindly write a short essay about your spiritual journey and what destination you hope to reach (minimum 200 words). Please note that there is no right or wrong answer. We simply would like to get to know you better. (required)

NOTES AND RECOMMENDATIONS

  1. The region around the Machu Picchu is known for its unpredictability due to sudden climatic changes at high altitude. This may adversely affect the pilgrimage and it is beyond the control of the organizers. We regret that, in such a case, the cost is not refundable.
  2. This Machu Picchu with Mohanji pilgrimage involves short to medium treks on the mountains. We endeavour to reduce the amount of walking involved. However, the pilgrim will be expected to trek over 4-5kms at a stretch on a couple of days of the pilgrimage. We request the pilgrim to be prepared with the required physical conditioning for such activity.
  3. Your safety will always be our highest concern. Based on the health/medical details provided in your application form, the Machu Picchu with Mohanji team may request you to furnish a provisional clearance from your doctor and/or, optionally, a go-ahead from your next-of-kin as a pre-condition for registration.
  4. Have you recently checked your hemoglobin? If not, please check it.
  5. Please consult your doctor and have supplements for iron, vit B12 and calcium for a month or two before the pilgrimage. If you have serious health conditions, we would recommend that you consult with a physician to help you take a studied call on your health condition vis-a-vis high altitude environments before you embark on the trip

TERMS AND CONDITIONS

  I hereby confirm that I have personally filled all the information correctly and consciously, and I am carrying full responsibility for attending this pilgrimage.

  I take full responsibility for my physical condition including consulting with a medical practitioner to evaluate my health condition vis-a-vis high altitude environments should I feel the need or if I am asked so. I confirm that Brahmarishi Mohanji, Mohanji International Sàrl, any of the people or venues associated with Mohanji will bear no liability should any medical matter arise and I shall be financially responsible for any consequential medical, evacuation, accommodation or related expenses

  I hereby agree that Brahmarishi Mohanji, Mohanji International Sàrl, any of the people or venues associated with Mohanji shall not be responsible for any of the possible consequences related to the attendance to the pilgrimage. I hereby agree Brahmarishi Mohanji, Mohanji International Sàrl, including all organizers and assistants associated with Mohanji International Sàrl will not be held responsible for any loss or damage whatsoever and I waive all rights to compensation in case of injury or loss.

  I accept that Brahmarishi Mohanji, Mohanji International Sàrl, any of the people or venues associated with Mohanji will not be held accountable for any changes due to change of official rules and local laws. Moreover, I agree that they are not liable for any changes in the itinerary due to unavoidable circumstances such as landslide, road blockage, flood, snow, political unrest, cancellation of flight, sickness and accidents. I hereby agree to pay any extra cost arising due to the above circumstances on the spot.

  I understand that the registration is complete only after paying the full fee and that the contribution is non-refundable and registration is non-transferable. Likewise, any changes in the schedule of the program by the Mohanji International Sàrl will be notified in advance. In case of cancellation of the program, attributed to any cause that is beyond the reasonable control, including natural disasters like floods, fire, tempest or conditions caused by men, such as war, revolutions etc. the program charges will not be refundable.

  I welcome supporting Mohanji International Sàrl and its associates by enabling them to use my images, if necessary, and video footage in its publications and media placements. Should I wish to be excluded, it is my responsibility to inform Machu Picchu with Mohanji organisers at the time of registration.

DISCLAIMER

Please review if all mandatory questions are answered before you submit your application.